Active NPI
Verna Jean Tickle, L.I.C.S.W.
- Clinical Social Worker
- Bellingham, WA
National Provider Identifier
1265679872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60306490
- Practice address
- 475 W Lake Samish Dr
Bellingham, WA 98229-9368 - Phone
- (360) 317-6311
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 25104 | CA | |
| Clinical Social Worker | 1041C0700X | 60306490 | WA | Primary |
Addresses
Primary practice location
475 W Lake Samish Dr
Bellingham, WA 98229-9368
Mailing address
475 W Lake Samish Dr
Bellingham, WA 98229-9368
Phone (360) 317-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 25104 | CA | MD | Clinical Social Worker |
| 60306490 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1265679872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W LAKE SAMISH DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982299368",
"telephone_number": "360-317-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W LAKE SAMISH DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982299368",
"telephone_number": "360-317-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKLE",
"first_name": "VERNA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 25104",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60306490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
- Through Life Stages Counseling
- Through Life Stages Professional Counseling Services
- Through Life Stages Professional Counseling Services PC
- Through the Waves Therapy
- Claire E. Thurman-Moore, ARNP
- Valerie Christine Tiemeyer
- Anne Marie Tietjen, PH.D.
- John W Tilley Jr., MD
- Mei Timberlake
- Sophie Shoshanna Timin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.